| NPI | 1629315643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY R. BRASWELL Insurance COO Rdinator 205-987-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AL 3970) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |